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NPI Code Detail

MEDICARE: GOLDEN HEALTH ALLIANCE LLC

MEDICARE: GOLDEN HEALTH ALLIANCE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1215624812
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN HEALTH ALLIANCE LLC
Provider Business Mailing Address
First Line : 710 E MAIN ST
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1668
Country : US
Telephone Number : 859-687-7005
Fax Number :
Provider Business Practice Location Address
First Line : 710 E MAIN ST
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1668
Country : US
Telephone Number : 859-687-7005
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KARLA OREA
Credential :
Telephone Number : 859-687-7005
Provider Enumeration Date : 04/24/2023
Last Update Date : 04/24/2023

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Directions to “GOLDEN HEALTH ALLIANCE LLC ” Practice Location

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